Loss of Self-Awareness Due to PTSD

Psychological trauma exerts emotional and also physical consequences on sufferers. But, why do they lose their self-awareness? Find out here.

Written and verified by the psychologist Gorka Jiménez Pajares.

Last update: 03 April, 2024

Trauma has the potential to hijack the brain. In fact, in the aftermath of the horror of the situations that trauma sufferers experience, their bodies cease to belong to them. In effect, they experience a loss of bodily self-awareness. Consequently, their bodies activate at the slightest hint of danger. This prevents them from ‘being themselves’ as their physical symptoms take over.

Many brain areas participate in this ‘corporal hijacking’. However, the most important is probably the amygdala. This structure is common to all mammals. It’s the region that allows us to feel and, above all, to survive.

The kidnapping of the body

When an individual perceives danger with the potential to threaten their survival, it only takes a few seconds for their brain to adopt the fight, flight, or freeze response. In effect, they lack the capacity to evaluate and interpret if the situation is really dangerous or harmless.

This occurs in post-traumatic stress disorder (PTSD). As a result of the pain, anger, helplessness, and terror that the individual experiences, the stimuli that occurred while the traumatic event lasted become associated with the emotion of fear.

This explains how survivors of traumatic events are terrified by many different stimuli that don’t tend to cause fear in the general population. For example, Mark, a survivor of the war in Iran, panics every time he hears the blades of an air fan, because they remind him of the movement of the blades of his combat helicopter in which all his companions died.

This means the most trivial and harmless stimulus can be capable of capturing and ‘kidnapping’ an individual. They experience symptoms such as tachycardia and panic attacks. They also feel fear, anguish, and anxiety. In effect, it becomes a cocktail that ends up paralyzing them. The area responsible for this hijacking is the amygdala.

Self-awareness: key to recovery from PTSD

While the amygdala is responsible for capturing the individual and dragging them into a chaotic and gloomy emotional universe, the medial prefrontal cortex contributes reason. I fact, it’s the seat of self-awareness (Van der Kolk, 2020).

Being self-aware means knowing what’s happening in your body. It’s a sense of interoception. Van der Kolk is one of the most famous psychiatrists in the world in relation to psychological trauma. He claims that, within the treatment of PTSD, two questions must be asked:

• What do you experience?
• What happens afterward?

Individuals suffering from trauma go through their lives with burning emotions. Moreover, they often experience frustration, anger, terror, or anguish in bodily ways. They frequently experience these feelings in their chests and stomachs.

Loss of self-awareness and the fear of emotion

Avoiding contact with these feelings is counterproductive because it increases them. However, with the two questions Van der Kolk suggests, the individual connects with their emotions. Consequently, this promotes, as opposed to reduces self-awareness.

PTSD is seen as a ‘hostile adversary and rival’. That said, it isn’t the aggressor in itself. The bodily sensations and emotions that the individual experiences are. Van der Kolk states: “The fear of being hijacked by unpleasant sensations causes the body to freeze and the mind to shut down.” For this reason, it’s essential that the sufferer changes the way in which they relate to themselves and their body.

Anyone who attends therapy must be aware that both their emotions and their bodily sensations have a definite beginning, but also an end. In fact, this perception of ‘impermanence’ can be a useful strategy in tolerating the negative impact of anxiety and terror.

Naming emotions

The next step is to label, name, and assign a description to the individual’s feelings. As such, the sufferer must give narrative meaning to their emotions. This activates their medial prefrontal cortex, as opposed to hyperactivating the amygdala. It makes use of reason to balance emotion.

After a traumatic event, there may be a multitude of stimuli that remain associated with the ‘danger’ message. In the months to come, these stimuli have the potential to unleash waves of emotions that paralyze the trauma sufferer. This occurs because the amygdala is the emotional center of the brain that ‘abducts’ us in order for us to survive.

However, the stimuli that were associated with the trauma at the time are harmless today. Yet, they continue to ‘kidnap’ the sufferer. For this reason, the sufferer must increase their self-awareness. The aim is to promote less aversive and more friendly reactions to stimuli.